14D0431343 CLIA NUMBER - FIRST CHOICE HEALTH CARE HENRY CO HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 14D0431343
  • Facility Name: FIRST CHOICE HEALTH CARE HENRY CO HEALTH DEPT
  • Facility Address: 110 N BURR BLVD
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 852-5272
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DONALD R. FORD
  • NPI Number: 1851394829
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0431343
LAB Type Rural Health Clinic
Facility Name FIRST CHOICE HEALTH CARE HENRY CO HEALTH DEPT
Street 110 N BURR BLVD
City KEWANEE
State IL
ZIP 61443
Phone 309 852-5272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Rural Health Clinic
Lab Director DONALD R. FORD

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This page was last updated on: 9/29/2025